Total laparoscopic pericystectomy for non complicated hydatid cyst

Abstract

Background: Laparoscopic total pericystectomy is not a widely used approach for surgical treatment of liver hydatid cyst (LHC). When laparoscopic surgery is perform, less than 10% of patients had a radical procedure. Methods: We present a case of previosly healthy 61 y/o man, who was diagnosed of LHC of segment VI by an abdominal US and CT scan. After serological analysis a LHC was confirmed. A preoperative treatment based in Albendazole was prescribed for 2 months. Under left lateral decubitus position, a four trocars approach was used. After a partial liver mobilization, isolation of field with gauze and hypertonic saline solution was done. Hydatid membranes was removed in a bag and complete pericystectomy using bipolar and ultrasonic scalpel was performed. Intraoperative bleeding was 50ml. A Jackson-Pratts drainage was left at surgical site. Results: Postoperative was uneventful and discharge at 2º postoperative day. Pathological study shows an inactive echinococcus with hyaline degeneration. After 10 months of follow-up are asymptomatic and no recurrence. Conclusion: Laparoscopic total pericystectomy is feasible and could be performed as method of choice to non complicated LHC.